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Individual

DR. LUBRINA ESTELLA BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1647 BENNING RD NE, SUITE 200, WASHINGTON, DC 20002-4570
(202) 388-5303
(202) 388-5305
Mailing address
1647 BENNING RD NE, 200, WASHINGTON, DC 20002-4570
(202) 388-5303
(202) 388-5305

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0103300768
VA
213E00000X
Podiatrist
Primary
P01000007
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017242700
DC
01
0187
BCBS
01
1471929
AETNA
01
2155212
UNITED HEALTHCARE
01
22390
DC CHARTERED
01
4699
ELDER HEALTH
DC
01
4699
BRAVO
01
480000714
MEDICARE
VA
01
480032058
RAILROAD MEDICARE
GA
01
490512
MEDICARE
DC
05
9304151
VA
01
T1477
HEALTH RIGHT
Enumeration date
01/24/2006
Last updated
05/21/2010
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